Explore the vast range of titles available.

An assessment of current and future emissions, air concentrations, and atmospheric deposition of mercury worldwide is presented on the basis of results obtained during the performance of the EU GMOS (Global Mercury Observation System) project. Emission estimates for mercury were prepared with the main goal of applying them in models to assess current (2013) and future (2035) air concentrations and atmospheric deposition of this contaminant. The combustion of fossil fuels (mainly coal) for energy and heat production in power plants and in industrial and residential boilers, as well as artisanal and small-scale gold mining, is one of the major anthropogenic sources of Hg emissions to the atmosphere at present. These sources account for about 37 and 25 % of the total anthropogenic Hg emissions globally, estimated to be about 2000 t. Emissions in Asian countries, particularly in China and India, dominate the total emissions of Hg. The current estimates of mercury emissions from natural processes (primary mercury emissions and re-emissions), including mercury depletion events, were estimated to be 5207 t year−1, which represents nearly 70 % of the global mercury emission budget. Oceans are the most important sources (36 %), followed by biomass burning (9 %). A comparison of the 2035 anthropogenic emissions estimated for three different scenarios with current anthropogenic emissions indicates a reduction of these emissions in 2035 up to 85 % for the best-case scenario. Two global chemical transport models (GLEMOS and ECHMERIT) have been used for the evaluation of future mercury pollution levels considering future emission scenarios. Projections of future changes in mercury deposition on a global scale simulated by these models for three anthropogenic emissions scenarios of 2035 indicate a decrease in up to 50 % deposition in the Northern Hemisphere and up to 35 % in Southern Hemisphere for the best-case scenario. The EU GMOS project has proved to be a very important research instrument for supporting the scientific justification for the Minamata Convention and monitoring of the implementation of targets of this convention, as well as the EU Mercury Strategy. This project provided the state of the art with regard to the development of the latest emission inventories for mercury, future emission scenarios, dispersion modelling of atmospheric mercury on a global and regional scale, and source–receptor techniques for mercury emission apportionment on a global scale.

Background: Recently, evidence of cardio-protection and reduction in mortality due to the use of volatile agents during cardiac surgery led to an increase in their use during cardiopulmonary bypass (CPB). These findings seem to be enhanced when the volatile agents are used during all the surgical procedure, including the CPB period. Aims: Since the administration of volatile agents through CPB can be beneficial to the patients, we decided to review the use of volatile agents vaporized in the CPB circuit and to summarize some tricks and tips of this technique using our 10-year experience of Brazilian and Italian centers with a large volume of cardiac surgeries. Study Setting: Hospital. Methods: A literature review. Results: During the use of the volatile agents in CPB, it is very important to analyze all gases that come in and go out of the membrane oxygenators. The proper monitoring of inhaled and exhaled fraction of the gas allows not only monitoring of anesthesia level, but also the detection of possible leakage in the circuit. Any volatile agent in the membrane oxygenator is supposed to pollute the operating theater. This is the major reason why proper scavenging systems are always necessary when this technique is used. Conclusion: While waiting for industry upgrades, we recommend that volatile agents should be used during CPB only by skilled perfusionists and physicians with the aim to reduce postoperative morbidity and mortality.

High-resolution Earth system model simulations generate enormous data volumes, and retaining the data from these simulations often strains institutional storage resources. Further, these exceedingly large storage requirements negatively impact science objectives, for example, by forcing reductions in data output frequency, simulation length, or ensemble size. To lessen data volumes from the Community Earth System Model (CESM), we advocate the use of lossy data compression techniques. While lossy data compression does not exactly preserve the original data (as lossless compression does), lossy techniques have an advantage in terms of smaller storage requirements. To preserve the integrity of the scientific simulation data, the effects of lossy data compression on the original data should, at a minimum, not be statistically distinguishable from the natural variability of the climate system, and previous preliminary work with data from CESM has shown this goal to be attainable. However, to ultimately convince climate scientists that it is acceptable to use lossy data compression, we provide climate scientists with access to publicly available climate data that have undergone lossy data compression. In particular, we report on the results of a lossy data compression experiment with output from the CESM Large Ensemble (CESM-LE) Community Project, in which we challenge climate scientists to examine features of the data relevant to their interests, and attempt to identify which of the ensemble members have been compressed and reconstructed. We find that while detecting distinguishing features is certainly possible, the compression effects noticeable in these features are often unimportant or disappear in post-processing analyses. In addition, we perform several analyses that directly compare the original data to the reconstructed data to investigate the preservation, or lack thereof, of specific features critical to climate science. Overall, we conclude that applying lossy data compression to climate simulation data is both advantageous in terms of data reduction and generally acceptable in terms of effects on scientific results.

Atmospheric mercury emission scenarios from artisanal and small-scale gold mining for 56 tropical and subtropical countries have been elaborated and assessed for their comparative significance. A multi-step quantitative method that yields narrow and robust confidence intervals for mercury emission estimates was employed. Firstly, data on gold production for different years, the ratio of mercury used in the different amalgamation processes, and ancillary input parameters were retrieved from official and unofficial sources, and their potential for emission reduction examined. Then, a Monte Carlo method to combine the data and generate mercury emission samples was used. These samples were processed by a non-parametric re-sampling method (bootstrap) to obtain robust estimates of mercury emissions, and their 95% confidence intervals, both for the current state and for the emission scenarios designed in this study. The artisanal and small-scale gold mining mercury emission (to the atmosphere) estimates agree with those reported in the Global Mercury Assessment 2018; however, the overall uncertainty is reduced from roughly 100% in the Global Mercury Assessment (779.59 tons/y; uncertainty range: 361.07–1197.97) to 27% (1091.93 tons/y; confidence interval at 95% level of confidence: 964.54–1219.77) in this study. This is a substantial outcome since the narrowing of the confidence intervals permits a more meaningful evaluation of the different emission scenarios investigated, which otherwise, given the broad uncertainty of other estimates, would have led only to vague conclusions in a study of this nature.

Context: Protamine is routinely administered to neutralize the anticlotting effects of heparin, traditionally at a dose of 1 mg for every 100 IU of heparin-a 1:1 ratio protamine sparing effects-but this is based more on experience and practice than literature evidence. The use of Hemostasis Management System (HMS) allows an individualized heparin and protamine titration. This usually results in a decreased protamine dose, thus limiting its side effects, including paradox anticoagulation. Aims: This study aims to assess how the use of HMS allows to reduction of protamine administration while restoring the basal activated clotting time (ACT) at the end of cardiac surgery. Settings and Design: A retrospective observational study in a tertiary care university hospital. Subjects and Methods: We analyzed data from 42 consecutive patients undergoing cardiopulmonary bypass (CPB) for cardiac surgery. For all patients HMS tests were performed before and after CPB, to determine how much heparin was needed to reach target ACT, and how much protamine was needed to reverse it. Results: At the end of cardiopulmonary bypass, 2.2 ± 0.5 mg/kg of protamine was sufficient to reverse heparin effects. The protamine-to-heparin ratio was 0.56:1 over heparin total dose (a 44% reduction) and 0.84:1 over heparin initial dose (a 16% reduction). Conclusion: A lower dose of protamine was sufficient to revert heparin effects after cardiopulmonary bypass. While larger studies are needed to confirm these findings and detect differences in clinically relevant outcomes, the administration of a lower protamine dose is endorsed by current guidelines and may help to avoid the detrimental effects of protamine overdose, including paradox bleeding.

The emission, transport, deposition and eventual fate of mercury (Hg) in the Mediterranean area has been studied using a modified version of the Weather Research and Forecasting model coupled with Chemistry (WRF/Chem). This model version has been developed specifically with the aim to simulate the atmospheric processes determining atmospheric Hg emissions, concentrations and deposition online at high spatial resolution. For this purpose, the gas phase chemistry of Hg and a parametrised representation of atmospheric Hg aqueous chemistry have been added to the regional acid deposition model version 2 chemical mechanism in WRF/Chem. Anthropogenic mercury emissions from the Arctic Monitoring and Assessment Programme included in the emissions preprocessor, mercury evasion from the sea surface and Hg released from biomass burning have also been included. Dry and wet deposition processes for Hg have been implemented. The model has been tested for the whole of 2009 using measurements of total gaseous mercury from the European Monitoring and Evaluation Programme monitoring network. Speciated measurement data of atmospheric elemental Hg, gaseous oxidised Hg and Hg associated with particulate matter, from a Mediterranean oceanographic campaign (June 2009), has permitted the model’s ability to simulate the atmospheric redox chemistry of Hg to be assessed. The model results highlight the importance of both the boundary conditions employed and the accuracy of the mercury speciation in the emission database. The model has permitted the reevaluation of the deposition to, and the emission from, the Mediterranean Sea. In light of the well-known high concentrations of methylmercury in a number of Mediterranean fish species, this information is important in establishing the mass balance of Hg for the Mediterranean Sea. The model results support the idea that the Mediterranean Sea is a net source of Hg to the atmosphere and suggest that the net flux is ≈30 Mg year⁻¹ of elemental Hg.

Tuberculosis (TB) prevention is a major goal in teaching hospital setting. Because of the possible progression or reactivation of latent disease, the screening of both health-care workers (HCWs) and students is an important issue in the TB control program. to deploy a web-based platform interoperating health surveillance systems from different hospitals to define models based on the highlighted risk factors to predict the occurrence of Latent Tuberculosis Infection (LTBI) and to define prevention strategies and interventions. This is a cross-sectional ambispective observational study without drug and device. The primary endpoint is the prevalence of LTBI. The secondary endpoint is the identification of possible risk factors of LTBI in a large cohort of HCWs and students. This study aims to enrich the primary prevention measures against TB, having a high socio-economic-health impact in high-risk populations (HCWs and students) through an interoperable digital approach based on data obtained in three large Italian teaching hospitals. ClinicalTrials.gov: NCT05756582.

This work provides the first continuous measurements of carbonaceous aerosol at the Global Atmosphere Watch (GAW) Monte Curcio regional station, within the southern Mediterranean basin. We specifically analyzed elemental carbon (EC) and organic carbon (OC) concentrations in particulate matter (PM) samples, collected from April to December during the two years of 2016 and 2017. The purpose of the study is to understand the behavior of both PM and carbonaceous species, in their fine and coarse size fraction, along with their seasonal variability. Based on 18 months of observations, we obtained a dataset that resulted in a vast range of variability. We found the maximum values in summer, mainly related to the enhanced formation of secondary pollutants owing to intense solar radiation, also due to the high frequency of wildfires in the surrounding areas, as well as to the reduced precipitation and aerosol-wet removal. We otherwise observed the lowest levels during fall, coinciding with well-ventilated conditions, low photochemical activity, higher precipitation amounts, and less frequency of Saharan dust episodes. We employed the HYSPLIT model to identify long-range transport from Saharan desert. We found that the Saharan dust events caused higher concentrations of PM and OC in the coarser size fraction whereas the wildfire events likely influenced the highest PM, OC, and EC concentrations we recorded for the finer fraction.

Implementation of the Minamata Convention on Mercury requires all parties to “control, and where feasible, reduce” mercury (Hg) emissions from a convention-specified set of sources. However, the convention does not specify the extent of the measures to be adopted, which may only be analysed by decision-makers using modelled scenarios. Currently, the numerical models available to study the Hg atmospheric cycle require significant expertise and high-end hardware, with results which are generally available on a time frame of days to weeks. In this work we present HERMES, a statistical emulator built on the output of a global Chemical Transport Model (CTM) for Hg (ECHMERIT), to simulate changes in anthropogenic Hg (Hganthr) deposition fluxes in a source-receptor framework, due to perturbations to Hganthr emissions and the associated statistical significance of the changes. The HERMES emulator enables stakeholders to evaluate the implementation of different Hganthr emission scenarios in an interactive and real-time manner, simulating the application of the different Best Available Technologies. HERMES provides the scientific soundness of a full CTM numerical framework in an interactive and user-friendly spreadsheet, without the necessity for specific training or formation and is a first step towards a more comprehensive, and integrated, decision support system to aid decision-makers in the implementation of the Minamata Convention.

A new generation of satellites for Earth observation and telecommunications are being designed and built with off the shelf components. This is driving down costs and permitting the launch of large satellite swarms with unprecedented spatial and temporal coverage. On-orbit maneuvers are commonly performed using ion thrusters. Mercury is one of the cheapest and easiest to store propellants for electric propulsion. While some mercury released in Low Earth Orbit may escape Earth’s gravitational field, mercury emissions originating from many common orbital maneuvers will return to Earth. The environmental and human health implications of such releases have not been evaluated. Using an atmospheric chemical transport model, we simulate global deposition of mercury released from satellite propulsion systems. We estimate that 75% of the mercury falling back to Earth will be deposited in the world’s oceans, with potentially negative implications for commercial fish and other marine life. Understanding the scale of this novel mercury source in a post-Minamata Convention world is necessary to limit ecosystem exposure to mercury contamination.